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改良Kuhnt-Szymanowski手术治疗马继发性瘢痕性睑外翻

Modified Kuhnt-Szymanowski surgical procedure for secondary cicatricial ectropion in a horse.

作者信息

Henriksen Michala de Linde, Plummer Caryn E, Brooks Dennis E

机构信息

Department of Small and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl 32610-0126, USA.

出版信息

Vet Ophthalmol. 2013 Jul;16(4):276-81. doi: 10.1111/j.1463-5224.2012.01061.x. Epub 2012 Sep 7.

DOI:10.1111/j.1463-5224.2012.01061.x
PMID:22958337
Abstract

A 1-year-old Dutch Warmblood gelding was presented to the University of Florida's Large Animal Hospital (UF-LAH) for correction of ectropion of the right lower eyelid. The ectropion was the result of a lower eyelid laceration. A primary repair was performed by the referring veterinarian; however, the horse prematurely removed the sutures and the wound healed with inversion of the eyelid margin. Surgical correction of the entropion, with removal of tissue from the lower eyelid, resulted in cicatricial ectropion. During the initial evaluation at UF-LAH, a corneal ulcer was noted in the right eye because of exposure from the anatomically nonfunctional lower eyelid. A modified Kuhnt-Szymanowski procedure was performed to correct the ectropion and repair the eyelid margin. The surgical site healed appropriately with an acceptable cosmetic and functional result. No recurrences of corneal ulcers in the right eye were reported in the 18 months following surgical correction of the ectropion.

摘要

一匹1岁的荷兰温血种公马被送至佛罗里达大学大型动物医院(UF-LAH),以矫正右下眼睑外翻。该外翻是下眼睑撕裂伤的结果。转诊兽医进行了一期修复;然而,这匹马过早拆除了缝线,伤口愈合后眼睑边缘内翻。通过从下眼睑切除组织对睑内翻进行手术矫正,导致了瘢痕性外翻。在UF-LAH的初次评估中,由于解剖学上无功能的下眼睑暴露,右眼出现了角膜溃疡。实施了改良的库恩特-希曼诺夫斯基手术来矫正外翻并修复眼睑边缘。手术部位愈合良好,外观和功能结果均可接受。在矫正外翻手术后的18个月内,右眼未再出现角膜溃疡复发的情况。

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